CN111685824B - Medical article taking device comprising multiple belt tracks - Google Patents
Medical article taking device comprising multiple belt tracks Download PDFInfo
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- CN111685824B CN111685824B CN202010684179.2A CN202010684179A CN111685824B CN 111685824 B CN111685824 B CN 111685824B CN 202010684179 A CN202010684179 A CN 202010684179A CN 111685824 B CN111685824 B CN 111685824B
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- bag
- waistband
- track
- specimen
- specimen bag
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B10/04—Endoscopic instruments
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00287—Bags for minimally invasive surgery
Abstract
The invention discloses a medical object taking device comprising a plurality of waistband tracks, which comprises a specimen bag, wherein the specimen bag comprises a bag opening capable of being opened and closed and a bag body formed by extending from the bag opening, and the bag body comprises a first bag surface and a second bag surface; the sack contains the sack track that encircles, its characterized in that: the outer surfaces of the first bag surface and the second bag surface of the bag body comprise waistband rails; the waistband track is formed by welding an additional film on the first bag surface and the second bag surface; the object taking device also comprises a waistband which penetrates through the waistband track, an opening mechanism, a catheter component and a handle component; the expanding mechanism comprises an elastic body and a fixed seat for fixing the elastic body; the elastic body comprises an elastic ring, the elastic ring is arranged in the bag opening track, and the fixed seat is arranged at the far end of the handle assembly; the specimen bag is wrapped around the periphery of the elastic ring, forcing the entire elastic ring to deform, thereby housing the specimen bag, the distraction mechanism, and the handle assembly in the catheter assembly.
Description
Technical Field
The invention relates to a minimally invasive surgical instrument, in particular to a medical extractor comprising a plurality of belt tracks.
Background
In minimally invasive surgery (especially in hard-barreled surgery), it is often necessary to remove internal tissues or diseased organs through a small incision in the patient's skin or through a puncture catheter. How to safely and conveniently take out the tissue or the diseased organ in the cavity is always a difficult problem which troubles the minimally invasive surgery. Since the first clinical application of the self-hardening lumen endoscopic surgery, various specimen bags special for endoscopic surgery are developed at home and abroad. Although the specimen bags are different in structure and use mode, the general types can be divided into two types: first, single specimen bags. And the second type is an extraction instrument comprising a specimen bag, a catheter and a stretching mechanism. The sample bag is rolled up and contained in the catheter, when in use, the fetching instrument enters the body of a patient through the puncture cannula, then the opening mechanism is pushed to push the rolled sample bag out of the catheter, and the opening mechanism opens the sample bag, so that tissues or diseased organs cut in an operation can be conveniently packed.
So far, in the process of taking out the specimen bag and the tissues or diseased organs contained in the specimen bag through a small incision, the tissues or diseased organs are generally pushed and stacked together in the specimen bag easily to form a bulging structure with two tips and a large middle part, so that the specimen bag is difficult to pass through the small incision, and the specimen bag is broken or additional injuries are caused to wounds of patients.
Disclosure of Invention
In one aspect of the invention, a medical extractor comprising a plurality of belt tracks is provided, comprising a specimen bag, a first belt track, a second belt track, a third belt track, a fourth belt track, a fifth belt track, a sixth belt track, a fourth belt track, a sixth belt track, a fourth belt track, a fourth belt track, a track; the sack contains the sack track that encircles, its characterized in that: the outer surfaces of the first bag surface and the second bag surface of the bag body comprise waistband rails; the waistband track is formed by welding an additional film on the first bag surface and the second bag surface; the object taking device also comprises a waistband penetrating through the waistband track, a stretching mechanism, a catheter component and a handle component; the expanding mechanism comprises an elastic body and a fixed seat for fixing the elastic body; the elastic body comprises an elastic ring, the elastic ring is arranged in the bag opening track, and the fixed seat is arranged at the far end of the handle assembly; the specimen bag is wrapped around the periphery of the elastic ring, forcing the entire elastic ring to deform, thereby housing the specimen bag, the distraction mechanism, and the handle assembly in the catheter assembly.
Still another medical extractor that contains the belt track. The specimen bag comprises a bag opening capable of being opened and closed and a bag body formed by extending from the bag opening, and the bag body comprises a first bag surface and a second bag surface; the pocket contains a surrounding pocket track. The first bag surface and the second bag surface of the bag body are externally provided with a belt track.
In one embodiment, the belt track is formed by welding additional films to the first and second pocket faces.
In another embodiment, the article taking device further comprises a belt, the belt penetrates through the belt track, and the first end and the second end of the belt are exposed outside the belt track. The first end and the second end of using chamber mirror knotting forceps and nipper to stimulate the waistband respectively can draw in the middle part of the bag body and make the bag body form approximate calabash shape, ties each other with the first end and the second end of waistband to prevent to form the expanded structure in the middle of pulling out external in-process with the sample bag via the wound. The thin neck of the gourd can be adjusted according to the need to adjust the tightness of the tension of the first end and the second end of the waistband.
In another scheme, the extractor further comprises a spreading mechanism, a catheter assembly and a handle assembly; the expanding mechanism comprises an elastic body and a fixed seat for fixing the elastic body; the elastic body comprises an elastic ring, the elastic ring is arranged in the bag opening track, and the fixed seat is arranged at the far end of the handle assembly; the specimen bag is wrapped around the periphery of the elastic ring, forcing the entire elastic ring to deform, thereby housing the specimen bag, the distraction mechanism, and the handle assembly in the catheter assembly.
In yet another aspect of the invention, an improved medical extractor includes a specimen bag. The specimen bag comprises a bag opening capable of being opened and closed and a bag body formed by extending from the bag opening, and the bag body comprises a first bag surface and a second bag surface; the pocket contains a surrounding pocket track.
In one scheme, the first bag surface and the second bag surface of the bag body are externally provided with a waistband rail, and the waistband rail is formed by welding additional films on the first bag surface and the second bag surface.
In another aspect, the outer surface of the first pocket side includes a waistband track and the outer surface of the second pocket side does not include a pocket side track.
In another aspect, the outer surface of the first pocket side does not include a pocket side rail and the outer surface of the second pocket side includes a waistband rail.
In another embodiment, the article extractor further comprises a waistband.
In another scheme, the first end of the waistband comprises a preset first twisted knot, and the second end of the waistband passes through the waistband rail and then passes through the first twisted knot.
In another scheme, the first end of the waistband comprises a first twist knot which is arranged in advance, and the second end of the waistband passes through the first twist knot after being wound in the waistband track for N circles (N is more than or equal to 2).
In another scheme, the second end of the waistband is pulled and the first twist knot is pushed to fold the middle of the bag body to form an approximate gourd shape, and the second end of the waistband forms a knot at the first twist knot to prevent the specimen bag from forming a middle swelling structure in the process of pulling the specimen bag out of the body through the wound.
In another scheme, the second end of the waistband is pulled and the first twist knot is pushed to draw the middle of the bag body in to enable the bag body to be approximately gourd-shaped, and the first end and the second end of the waistband are respectively pulled to be knotted with each other by using the endoscope knotting forceps and the grasping forceps, so that a middle swelling structure is prevented from being formed in the process of pulling the specimen bag out of the body through the wound.
In another scheme, the extractor further comprises a spreading mechanism, a catheter assembly and a handle assembly; the expanding mechanism comprises an elastic body and a fixed seat for fixing the elastic body; the elastic body comprises an elastic ring, the elastic ring is arranged in the bag opening track, and the fixed seat is arranged at the far end of the handle assembly; the specimen bag is wrapped around the periphery of the elastic ring, forcing the entire elastic ring to deform, thereby housing the specimen bag, the distraction mechanism, and the handle assembly in the catheter assembly.
In another aspect of the present invention, an improved method for using a medical extractor is provided, comprising the steps of:
s1, inserting the fetching device into the patient body through the puncture cannula and extending to the target area;
s2, pushing out the specimen bag by the operating handle assembly, and automatically restoring and opening the specimen bag by the elastic body;
s3, cutting the lesion tissue or organ, cutting off and dropping into a specimen bag;
s4, the operation handle component pulls the opening mechanism to take out and fold the bag opening, and meanwhile, the elastic ring is accommodated in the catheter or the puncture channel;
s5: the endoscope knotting forceps and the grasping forceps enter the body of the patient through the puncture channel, the second end of the waistband is pulled and the first twisted knot is pushed to fold the middle of the specimen bag body to form a gourd-shaped bag body, and the knotting forceps are used for enabling the second end of the second waistband to form a knot at the first twisted knot;
s6, the specimen bag and tissue are pulled through the wound of the patient.
In another aspect of the present invention, a method for manufacturing an improved specimen bag and a belt for a medical extractor is provided, comprising the steps of:
s1, cutting the qualified raw material film to form the fabric of the specimen bag;
s2, rolling one side of the fabric and welding to form a bag opening track;
s3, cutting the raw material film into strip films;
s4, placing the raw material film at a proper position of the fabric of the specimen bag, and welding to form a belt track;
s5: aligning and welding two pieces of fabrics manufactured in the previous step to form a bag body, and paying attention to that one side containing the waistband rail faces the outside of the bag body;
s6, the first end of the waistband is provided with a preset first twist knot, and the second end of the waistband passes through the waistband rail and then passes through the first twist knot.
S7, firstly, the elastic ring 51 passes through the bag opening track, and then the elastic body is fixed on the fixed seat 60; completing the assembly of the handle assembly, and mounting the fixed seat at the far end of the handle assembly; completing assembly of the catheter assembly;
s8: the specimen bag 100 is wrapped around the elastomer and received with the handle assembly within the conduit between the tubes.
In yet another aspect of the present invention, an improved medical extractor includes a specimen bag. The specimen bag comprises a bag opening capable of being opened and closed and a bag body formed by extending from the bag opening, and the bag body comprises a first bag surface and a second bag surface; the pocket contains a surrounding pocket track. In one scheme, the outer surface of the first bag face and/or the second bag face of the bag body comprises a waistband rail, and the waistband rail is formed by welding additional films on the first bag face and the second bag face.
In one arrangement, the belt track is formed from a plurality of spaced short tracks.
In one arrangement, the plurality of spaced short tracks are aligned in a substantially parallel pocket track with their central axes substantially aligned.
In another scheme, the article taking device further comprises a waistband, a first end of the waistband comprises a first twist knot which is arranged in advance, and a second end of the waistband penetrates through the waistband rail and then penetrates through the first twist knot.
In another scheme, the second end of the waistband is wound in the waistband track for N circles (N is more than or equal to 2) and then passes through the first twist knot.
In another scheme, the second end of the waistband is pulled and the first twist knot is pushed to fold the middle of the bag body to form an approximate gourd shape, and the second end of the waistband forms a knot at the first twist knot to prevent the specimen bag from forming a middle swelling structure in the process of pulling the specimen bag out of the body through the wound.
In another scheme, the extractor further comprises a spreading mechanism, a catheter assembly and a handle assembly; the expanding mechanism comprises an elastic body and a fixed seat for fixing the elastic body; the elastic body comprises an elastic ring, the elastic ring is arranged in the bag opening track, and the fixed seat is arranged at the far end of the handle assembly; the specimen bag is wrapped around the periphery of the elastic ring, forcing the entire elastic ring to deform, thereby housing the specimen bag, the distraction mechanism, and the handle assembly in the catheter assembly.
In another aspect of the present invention, a method for manufacturing an improved specimen bag and a belt of a medical extractor is provided, comprising the steps of:
s1, cutting the qualified raw material film to form the fabric of the specimen bag;
s2, rolling one side of the fabric, and welding to form a bag opening track;
s3, cutting the raw material film into strip films;
s4, placing the raw material film at a proper position of the fabric of the specimen bag, and welding at one time by using a proper mould to form a plurality of short tracks at intervals;
s5: aligning and welding two pieces of fabrics manufactured in the previous step to form a bag body, and paying attention to that one side containing the waistband track faces the outside of the bag body;
s6: trimming and removing the strip films which are not welded between the short rails;
s7, the first end of the waistband is provided with a preset first twist knot, and the second end of the waistband passes through the waistband rail and then passes through the first twist knot.
S8, firstly, the elastic ring 51 passes through the bag opening track, and then the elastic body is fixed on the fixed seat 60; completing the assembly of the handle assembly, and mounting the fixed seat at the far end of the handle assembly; completing assembly of the catheter assembly;
s9: the specimen bag 100 is wrapped around the elastomer and received with the handle assembly within the conduit between the tubes.
In a further refinement of the invention, the position of the belt rail satisfies the following relationship:
H 2 /6≤H 1 ≤H 2 /2
wherein:
h1-distance between the waistband track and the bag opening;
h2-maximum depth value of bag bottom from bag opening of specimen bag
This arrangement facilitates the front end of the specimen bag before a portion of the tissue is fixed, preventing the tissue from completely sliding down the rear portion of the specimen bag when the specimen bag containing the tissue is pulled out through a small incision, resulting in an excessively large local volume. When H is present 1 Is less than H 2 When the mouth part is too close to the first opening, the mouth part is not convenient to fold and pull out; when H is present 1 Greater than H 2 And/2, a part of the tissue contained in the specimen bag is not fixed to the front end of the specimen bag (i.e., closer to the mouth).
Drawings
For a fuller understanding of the nature of the present invention, reference should be made to the following detailed description taken together with the accompanying figures in which:
FIG. 1 is a perspective view of a first embodiment extractor instrument of the present invention in a retracted state;
FIG. 2 is a perspective view of the extractor instrument of FIG. 1 in a deployed state;
FIG. 3 is a perspective view of distractor mechanism 20;
FIG. 4 is an enlarged view of 4-4 of FIG. 3;
fig. 5 is an exploded view of the extractor instrument of fig. 2;
FIG. 6 is a simulated view of the pouch opening closure of the extraction instrument of FIG. 2 in use;
FIG. 7 is a side projection view of the specimen bag 200 and the belt 240 of the extractor 10 a;
FIG. 8 is a schematic illustration of orbital welding of a specimen bag 200;
FIG. 9 is a simulated view of the specimen bag after being fastened by the belt at the belt track;
FIG. 10 is a side projection view of the specimen bag 200 and the belt 240 of the extractor 10 b;
FIG. 11 is an enlarged view of 11-11 of FIG. 10;
FIG. 12 is a schematic knotting diagram of a typical twist knot;
FIG. 13 is a side projection view of the specimen bag 200 and the belt 240 of the extractor 10 c;
fig. 14 is a side projection view of the specimen bag 200 and the belt 240 of the extractor 10 d.
The same reference numbers will be used throughout the drawings to refer to identical or similar parts or elements.
Detailed Description
Embodiments of the present invention are disclosed herein, however, it is to be understood that the disclosed embodiments are merely exemplary of the invention, which can be embodied in various forms. Therefore, the disclosure herein is not to be interpreted as limiting, but merely as a basis for the claims and as a basis for teaching one skilled in the art how to employ the present invention.
Embodiments of the present disclosure will now be described in detail with reference to the drawings, where for convenience, the party proximal to the operator is defined as the proximal end and the party distal from the operator is defined as the distal end.
Fig. 1-5 depict in detail the structural components of an extractor instrument 10. Briefly, the retrieval instrument 10 includes, in order from the distal end to the proximal end, a specimen bag 100, a distraction mechanism 20, a catheter assembly 30, and a handle assembly 40. The catheter assembly 30 includes a hollow catheter 33 and a catheter handle portion 31 and 32 fixedly coupled thereto. The handle assembly 40 includes a finger ring 42 and a hollow drive rod 41 connected in series from a proximal end to a distal end, the drive rod 41 being positioned within the hollow catheter 33 and axially movable relative to the hollow catheter 33 to move the deployment mechanism 20 and the specimen bag 100 between a retracted state (fig. 1) and an expanded state (fig. 2).
The specimen bag 100 includes a bag opening 120 that can be opened and closed, and a closed bag body 130 that extends from the bag opening 120. The pocket 120 includes a pocket track 122 surrounding the pocket, the pocket track 122 being configured to receive the distraction mechanism 20. The specimen bag 100 is typically made from a thermoplastic elastomer film welded. There are many thermoplastic elastomer films suitable for making specimen bags, including but not limited to TPEE (polyester thermoplastic elastomer), TPU (polyurethane thermoplastic elastomer), TPEE (polyamide thermoplastic elastomer), and the like. When the specimen bag is clinically applied, the specimen bag is usually used for containing pathological tissues and is taken out through a small incision on the skin of a patient. To prevent the specimen bag from causing additional unnecessary damage to the incision (wound) of the patient, the material of the specimen bag is generally softer as possible. However, the softer the material of the specimen bag, the lower its strength, and the more likely it is to be crushed when the specimen bag is taken out through the wound. Preferably, the material hardness Hard of the specimen bag body is 80A or less and Hard or 95A or less. Generally, materials below 80A are not strong enough, while materials above 95A are too stiff and tend to cause unnecessary additional trauma to the wound of the patient.
Figures 3-4 depict the structure and composition of the distraction mechanism 20. The distracting mechanism 20 includes an elastic body 50 and a fixing seat 60. The elastic body 50 includes an elastic ring 51, and a first cantilever 53 and a second cantilever 55 extending to the proximal end, the first cantilever including a first fixing hook 54, and the second cantilever including a second fixing hook 56. The elastic body 50 is made of nitinol and has flexibility and shape memory. There are several fixing schemes between the elastic body and the fixing seat. Referring to fig. 3-4, in one embodiment, the fixing base 60 includes a first half fixing base 61 and a second half fixing base 65. The first half fixing seat and the second half fixing seat comprise a groove 69 matched with the shape and the size of the first cantilever 53 and the second cantilever 55, the first cantilever 53 and the first fixing hook 54, the second cantilever 55 and the second fixing hook 56 are limited in the groove 69, and the first half fixing seat 61 and the second half fixing seat 65 are fixedly fixed through interference fit of a plurality of fixing columns and fixing holes. The elastic ring 51 passes through the rail 111, and the first and second suspension arms 53 and 55 are fixed in the fixing base 60. The anchor 60 is mounted to the distal end of the handle assembly 40.
Referring to fig. 1,2 and 5, after the extraction instrument 10 is assembled (see fig. 2), the specimen bag 100 is typically wrapped around the elastomer 21 and received within the hollow conduit 33 (see fig. 1). The invention of US patent 8986321 discloses various winding and storage modes of the fetching device, and other fetching devices are specifically disclosed, and one of ordinary skill can apply the invention with slight modifications.
The relevant operation of the clinical application of the extractor device 10 can be generally divided into the following phases:
in the first stage: a preliminary stage. The extraction instrument is inserted into the patient through the puncture cannula and extends to the target area. And a second stage: and (4) an unfolding stage. The specimen bag is pushed out by the operating handle assembly, and the elastic body automatically restores and struts the specimen bag. And a third stage: and (5) cutting off the specimen. The cut diseased tissue or organ is trimmed and dropped into a specimen bag. The fourth stage, specimen taking-out stage. Referring to fig. 6, the operating handle assembly pulls the spreading mechanism out to gather the pouch opening while the resilient ring is received in the catheter or puncture channel. The handle assembly is then pulled to remove the specimen bag and the specimen contained therein via the puncture cannula or via the skin incision. In this process, since the inner diameter of the puncture cannula or the incision of the minimally invasive surgery is small, the tissues in the specimen bag are easily wrapped together, the middle part is thick, the two ends are small (refer to fig. 6), and the tissues are difficult to take out through the small incision. Easily causing the specimen bag to be broken and the small incision to be accidentally damaged.
Fig. 7-8 depict yet another modified extractor 10a (not shown in full construction, as understood with reference to fig. 1-5) containing a modified specimen bag 200. The specimen bag 200 includes a bag opening 220 that can be opened and closed, and a closed bag body 230 extending from the bag opening 220. The pocket 220 includes a pocket track 222 surrounding the pocket, the pocket track 222 configured to receive the distraction mechanism 20. The bag body rail 222 is formed by curling and welding the film sheet 201 constituting the specimen bag to form a bag mouth weld 224 and cutting off excess material. The bag body 230 includes a first bag surface 233 and a second bag surface 235, and the first bag surface 233 and the second bag surface 235 are formed by welding a film sheet 201 constituting a specimen bag to form a bag body weld 237 and cutting an excess material. In this example, the bag 230 is formed by welding 2 films 201 in alignment, but the bag may be formed by welding a single film in half.
The specimen bag 200 further includes a waistband track 260, the waistband weld 260 including a strip film 261, a first waistband weld 263 and a second waistband weld 265 welding the strip film 261 to surfaces of the first and second bag faces 233, 235 in a spaced-apart manner (as understood with reference to fig. 7-8), the first waistband weld, the second waistband weld, the first bag face, the second bag face and the strip film defining a track, namely the waistband track 260. The long film 261 is not a part of the film sheet 201, but is additionally cut. The long film 261 may be made of the same material and have the same thickness as the film sheet 201, or may be different. When the long film 261 is made of a material different from that of the film sheet 201, it should be tested that the weldability with the film sheet 201 is good. The specimen bag shown in fig. 7-8 is formed by welding 2 sheets of film in alignment, however, a single sheet of film may be folded and welded to form the bag. Similarly, the belt track shown in fig. 7-8 is welded to both the first and second pocket panels, but may be welded to only the first pocket panel or only the second pocket panel.
As will be understood with reference to fig. 7 in conjunction with fig. 1-5 (with the specimen bag 100 replaced with the specimen bag 200), the extractor 10a further includes a distractor mechanism 20, a catheter assembly 30, and a handle assembly 40. The expanding mechanism 20 includes a fixing base 60 to which the elastic body 50 is fixed. The elastic body 50 is made of nitinol and has flexibility and shape memory. The elastic body 50 comprises an elastic ring 51, the elastic ring 51 is arranged in a track 222, and the fixed seat 60 is arranged at the far end of the handle assembly 40. The specimen bag 200 wraps around the outer circumference of the elastic ring, forcing the entire elastic ring to deform, thereby receiving the specimen bag 200, the spreader mechanism 20, and the handle assembly 40 in the catheter assembly 30.
The extractor 10a further comprises a belt 240. The waistband 240 extends through the waistband track 260 and the first end 241 and the second end 249 of the waistband are exposed outside the waistband track 260. The first end 241 and the second end 249 of the waistband are respectively pulled by using the endoscope knotting forceps and the grasping forceps, the middle of the bag body can be folded to enable the bag body to be approximately gourd-shaped (refer to fig. 9), and the first end and the second end of the waistband are knotted with each other, so that a middle expansion structure is prevented from being formed in the process of pulling the specimen bag out of the body through the wound. The thin neck of the gourd can be adjusted according to the need to adjust the tightness of the tension of the first end and the second end of the waistband.
In conjunction with the foregoing, the extractor 10a includes a specimen bag 200, a spreader mechanism 20, a catheter assembly 30, a handle assembly 40, and a belt 240. The structure and the composition of the object taking device 10a are similar to those of the object taking device 10, and the installation mode of the object taking device is the same as the sample bag storage mode. It will be appreciated by those skilled in the art that when the extractor should be used clinically to extract tissue, as will be understood in conjunction with fig. 6 and 9, the operating handle assembly pulls the spreading mechanism to extract the mouth of the bag and simultaneously receive the elastomeric ring in the catheter or puncture channel. The handle assembly is then pulled to remove the specimen bag and the specimen contained therein via the puncture cannula or via the skin incision. In this process, since the inner diameter of the puncture cannula or the incision of the minimally invasive surgery is small, the tissues in the specimen bag are easily wrapped together, the middle part is thick, the two ends are small (refer to fig. 6), and the tissues are difficult to take out through the small incision. Easily causing the specimen bag to be broken and the small incision to be accidentally damaged. When the specimen bag is used, the object taking device 10a can be used to fold the middle of the bag body to form a similar gourd shape (refer to fig. 9), and the first end 241 and the second end 249 of the waistband 240 are knotted with each other, so as to prevent the specimen bag from forming a structure with a middle bulge in the process of being pulled out of the body through the wound. The thin neck of the gourd can be adjusted according to the need to adjust the tightness of the tension of the first end and the second end of the waistband.
Referring to fig. 10-12, a further modified extractor 10b (not shown in the figures, but understood with reference to fig. 1-4) is substantially identical to the extractor 10a, except for the method of positioning the belt 240. Briefly, the extractor 10b includes a modified specimen bag 200, a spreader mechanism 20, a catheter assembly 30, a handle assembly 40, and a belt 240. The expanding mechanism 20 includes a fixing base 60 to which the elastic body 50 is fixed. The elastic body 50 comprises an elastic ring 51, the elastic ring 51 is arranged in a track 222, and the fixed seat 60 is arranged at the far end of the handle assembly 40. The specimen bag 200 wraps around the outer circumference of the elastic ring, forcing the entire elastic ring to deform, thereby receiving the specimen bag 200, the spreader mechanism 20, and the handle assembly 40 in the catheter assembly 30. The belt 240 extends through the belt track 260. The first end 241 of the belt 240 includes a first predetermined knurl 243, and the second end 249 of the belt passes through the belt track 260 and then passes through the first knurl 243. Referring now to fig. 9, the twist knot is a knot formed by interlacing the first end 241 and the second end 249 of the waistband with each other in a twisted twist pattern that intertwines and interlaces with each other. Fig. 12 shows the knotting manner of the twist knot, fig. 11 can be seen as the twist knot which is only intertwined and staggered 1 time, and fig. 12 shows the twist knot which is intertwined and staggered 2 times. Referring to fig. 11-12, those skilled in the art should readily understand the formation of the twist knot, and multiple winding of the staggered twist knot is more advantageous for anti-loosening. It should be readily understood by those skilled in the art that when the first end 241 and the second end 249 shown in fig. 10 are pulled, the twist knot shrinks to zero internal space, and a dead knot is formed. In contrast to the twist knot shown in fig. 8-9, the second end 249 passes through the belt track 260 and then through the first twist knot 243, and then the position of the twist knot can be adjusted before the twist knot is tightened. After confirming that the position of the twist knot meets the requirement, tensioning the twist knot. At this time, the bag body can be folded by pulling the second end 249 and pushing the knurl 243 to form an approximate gourd-shaped bag body (refer to fig. 9). Finally, the second end 249 of the waist band forms a knot at the first knurl 243 to prevent the specimen bag from forming a medial bulge during the process of pulling the specimen bag out of the body through the wound. After the twist knot 243 is prefabricated and the second end 249 penetrates through the twist knot, the grasping forceps and the knotting forceps are used under the endoscope, one instrument grasps the second end 249 and pulls the second end, and the other instrument pushes the twist knot, so that the bag body can be folded; the thin neck of the 'gourd' can be adjusted according to the requirement by adjusting the pushing position of the twist knot and the tightness of the tension of the second end. The waistband near the knurl knot is then wrapped several turns around the head of the knotter forceps and the second end is threaded through the turns and tightened to form a knot and prevent loosening. This tightening and tying is simple, however, other tying methods may be used.
In yet another aspect of the present invention, a method for using extractor 10b is provided, comprising the steps of:
s1, inserting the fetching device into the patient body through the puncture cannula and extending to the target area;
s2, pushing out the specimen bag by the operating handle assembly, and automatically restoring and opening the specimen bag by the elastic body;
s3, cutting the lesion tissue or organ, cutting off and dropping into a specimen bag;
s4, the handle assembly is operated to pull the spreading mechanism to take out the bag opening and fold the bag opening, and meanwhile, the elastic ring is accommodated in the catheter or the puncture channel;
s5: the endoscope knotting forceps and the grasping forceps enter the body of the patient through the puncture channel, the second end of the waistband is pulled and the first twisted knot is pushed to fold the middle of the specimen bag body to form a gourd-shaped bag body, and the knotting forceps are used for enabling the second end of the second waistband to form a knot at the first twisted knot;
s6, the specimen bag and tissue are pulled through the wound of the patient.
In another aspect of the present invention, a method for manufacturing a specimen bag and a belt of an extractor 10b includes the steps of:
s1, cutting the qualified raw material film to form the fabric of the specimen bag;
s2, rolling one side of the fabric and welding to form a bag opening track;
s3, cutting the raw material film into strip films;
s4, placing the raw material film at a proper position of the fabric of the specimen bag, and welding to form a belt track;
s5: aligning and welding two pieces of fabrics manufactured in the previous step to form a bag body, and paying attention to that one side containing the waistband rail faces the outside of the bag body;
s6, the first end of the waistband is provided with a preset first twist knot, and the second end of the waistband passes through the waistband rail and then passes through the first twist knot.
S7, firstly, the elastic ring 51 passes through the bag opening track, and then the elastic body is fixed on the fixed seat 60; completing the assembly of the handle assembly, and mounting the fixed seat at the far end of the handle assembly; completing assembly of the catheter assembly;
s8: the specimen bag 100 is wrapped around the elastomer and received with the handle assembly within the conduit between the tubes.
Referring to fig. 11, a further modified extractor 10c (not shown in the drawings, but understood with reference to fig. 1-4) is substantially the same as the extractor 10b, except for the method of positioning the waist belt 240. The first end 241 of the waistband 240 comprises a first twist knot 243 which is arranged in advance, and the second end 249 of the waistband winds the waistband track for N circles (N is more than or equal to 2) and then passes through the first twist knot 243. Fig. 13 depicts a schematic of N-3. The manufacturing and using methods of the object taking device 10c are basically the same as those of the object taking device 10b, and compared with the object taking device 10b, the waistband is wound by N circles and then penetrates through the twisted knot, so that the rebounding and loosening can be prevented in the process of pulling the waistband to tighten the bag body under the endoscope. Initially when the specimen bag is fully in an untightened state, the waistband can be rapidly folded by pulling the plurality of circles of windings. When the bag body is folded and the tissues in the bag body generate counter force, the bag body can be folded to the desired tightness degree by gradually pulling the waistband with small feed, and meanwhile, the plurality of circles of the waistband is favorable for preventing rebound looseness.
Fig. 14 depicts yet another optimized extractor 10d for minimally invasive surgery (not all structures shown, see fig. 1-5, and understood in conjunction with the foregoing). The extractor 10d and the extractor 10b have substantially the same structure and composition, and only differ in the arrangement of the belt track of the specimen bag. The extractor 10d includes a specimen bag 200d, a spreader mechanism 20, a catheter assembly 30, a handle assembly 40, and a belt 240. . The specimen bag 200a includes a bag opening 220 that can be opened and closed, and a closed bag body 230 extending from the bag opening 220. The pocket 220 includes a pocket track 222 surrounding the pocket, the pocket track 222 configured to receive the distraction mechanism 20. The bag body 230 includes a first bag surface 233 and a second bag surface 235.
The specimen bag 200 also includes a belt track 260d, the belt track 260d being comprised of a plurality of spaced short tracks 269 d. Each of the short tracks 269d is formed by welding an additional film 261d to the outer surface of the first pocket face 233 and/or the second pocket face 235 by a first waistband weld 263da and a second waistband weld 265 d. The plurality of spaced short tracks are aligned in a manner substantially parallel to the pocket opening tracks with the central axes of the short tracks substantially aligned. The short track 269d may also be formed by welding a long strip of film 261d at one time using a suitable die to form a plurality of spaced short tracks, and then trimming off the unwelded long strip of film between the short tracks.
In another aspect of the present invention, a method for manufacturing a specimen bag and a belt of an extractor 10d includes the steps of:
s1, cutting the qualified raw material film to form the fabric of the specimen bag;
s2, rolling one side of the fabric and welding to form a bag opening track;
s3, cutting the raw material film into strip films;
s4, placing the raw material film at a proper position of the fabric of the specimen bag, and welding at one time by using a proper mould to form a plurality of short tracks at intervals;
s5: aligning and welding two pieces of fabrics manufactured in the previous step to form a bag body, and paying attention to that one side containing the waistband rail faces the outside of the bag body;
s6: trimming and removing the strip films which are not welded between the short rails;
s7, the first end of the waistband is provided with a preset first twist knot, and the second end of the waistband passes through the waistband rail and then passes through the first twist knot.
S8, firstly, the elastic ring 51 passes through the bag opening track, and then the elastic body is fixed on the fixed seat 60; completing the assembly of the handle assembly, and mounting the fixed seat at the far end of the handle assembly; completing assembly of the catheter assembly;
s9: the specimen bag 100 is wrapped around the elastomer and received with the handle assembly within the conduit between the tubes.
Compared with the specimen bag 200, the specimen bag 200a has the advantages that the difficulty of manufacturing the specimen bag and the rail is not increased, but the spaced bag surface rail of the specimen bag 200a is used when the waistband 240 is arranged, so that the threading is more convenient. Particularly when the belt 240 is threaded through multiple turns around the belt track.
Referring to fig. 5 and as shown in fig. 14, in a further modification, the belt track 260 of the specimen bag 200 is disposed approximately one-third of the distance from the mouth of the bag body. In a specific arrangement, the position of the belt track satisfies the following relationship:
H 2 /6≤H 1 ≤H 2 /2
wherein:
h1-distance between the waistband track and the bag opening;
h2-the maximum depth value of the bottom of the specimen bag from the opening of the bag.
This arrangement facilitates the front end of the specimen bag before a portion of the tissue is fixed, preventing the tissue from completely sliding down the rear portion of the specimen bag when the specimen bag containing the tissue is pulled out through a small incision, resulting in an excessively large local volume. When H is present 1 Is less than H 2 When the mouth part is too close to the first opening, the mouth part is not convenient to fold and pull out; when H is 1 Greater than H 2 And/2, a part of the tissue contained in the specimen bag is not fixed to the front end of the specimen bag (i.e., closer to the mouth).
Many different embodiments and examples of the invention have been shown and described. One of ordinary skill in the art can adapt the methods and apparatus described herein by making appropriate modifications without departing from the scope of the invention. Several modifications have been mentioned, and other modifications will occur to those skilled in the art. The scope of the invention should, therefore, be determined with reference to the appended claims, and not be construed as limited to the details of structure, materials, or acts shown and described in the specification and drawings.
Claims (3)
1. A medical object taking device comprising a plurality of waistband tracks comprises a specimen bag, wherein the specimen bag comprises a bag opening capable of being opened and closed and a bag body formed by extending from the bag opening, and the bag body comprises a first bag surface and a second bag surface; the sack contains the sack track that encircles, its characterized in that: the outer surfaces of the first bag surface and the second bag surface of the bag body comprise waistband rails; the waistband track is formed by welding an additional film on the first bag surface and the second bag surface; the object taking device also comprises a waistband which penetrates through the waistband track, an opening mechanism, a catheter component and a handle component; the expanding mechanism comprises an elastic body and a fixed seat for fixing the elastic body; the elastic body comprises an elastic ring, the elastic ring is arranged in the bag opening track, and the fixed seat is arranged at the far end of the handle assembly; the specimen bag is wound on the periphery of the elastic ring to force the whole elastic ring to deform, so that the specimen bag, the spreading mechanism and the handle assembly are accommodated in the catheter assembly;
the first end of the waistband comprises a preset first twisted knot, the second end of the waistband passes through the first twisted knot after being wound in the waistband track for N circles (N is more than or equal to 2), and the waistband passes through the twisted knot after being wound for N circles, so that the waistband is pulled progressively by small feed to gather the bag body to a desired tightness degree, and meanwhile, the multiple circles of the waistband are beneficial to preventing rebound looseness;
pulling the second end of the waistband and pushing the first twist knot to fold the middle of the bag body to form a gourd-shaped bag body, and forming a knot at the first twist knot by using the second end of the waistband so as to prevent the specimen bag from forming a middle swelling structure in the process of pulling the specimen bag out of the body through the wound;
the waistband track consists of a plurality of short tracks at intervals;
the position of the belt track satisfies the following relational expression:
H 2 /6≤H 1 ≤H 2 /2
wherein:
h1-distance between the waistband track and the bag opening;
h2-the maximum depth value of the bottom of the specimen bag from the opening of the bag.
2. The extractor of claim 1, wherein the plurality of spaced short rails are aligned in a parallel pocket rail with the central axes of the short rails substantially aligned.
3. The method of manufacturing a picker according to claim 1, comprising the steps of:
s1, cutting the qualified raw material film to form the fabric of the specimen bag;
s2, rolling one side of the fabric and welding to form a bag opening track;
s3, cutting the raw material film into strip films;
s4, placing the raw material film at a proper position of the fabric of the specimen bag, and welding at one time by using a proper mould to form a plurality of short tracks at intervals;
s5: aligning and welding two pieces of fabrics manufactured in the previous step to form a bag body, and paying attention to that one side containing the waistband rail faces the outside of the bag body;
s6: trimming and removing the strip films which are not welded between the short rails;
s7, enabling the first end of the waistband to comprise a preset first twist knot, and enabling the second end of the waistband to penetrate through the first twist knot after being wound in the waistband track for N circles (N is more than or equal to 2);
s8, firstly, the elastic ring passes through the bag opening rail, and then the elastic body is fixed on the fixed seat; completing the assembly of the handle assembly, and mounting the fixed seat at the far end of the handle assembly; completing assembly of the catheter assembly;
s9: the specimen bag is wrapped around the elastomer and received with the handle assembly within the conduit between the tubes.
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| CN202010684179.2A CN111685824B (en) | 2020-07-16 | 2020-07-16 | Medical article taking device comprising multiple belt tracks |
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| CN202010684179.2A CN111685824B (en) | 2020-07-16 | 2020-07-16 | Medical article taking device comprising multiple belt tracks |
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| US5611803A (en) * | 1994-12-22 | 1997-03-18 | Urohealth Systems, Inc. | Tissue segmentation device |
| AU2003247552B2 (en) * | 2002-06-18 | 2007-12-06 | Covidien Lp | Tissue removal device |
| CN205683099U (en) * | 2015-11-11 | 2016-11-16 | 孙大为 | Artificial laparoscopic surgery room device |
| US11134931B2 (en) * | 2018-05-01 | 2021-10-05 | Covidien Lp | Tissue specimen retrieval bags, devices, and systems |
| CN110236607A (en) * | 2019-06-13 | 2019-09-17 | 王中显 | A kind of laparoscopic surgery load-engaging device and its application method |
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| WO2016028789A2 (en) * | 2014-08-18 | 2016-02-25 | Applied Medical Resources Corporation | Systems and methods for tissue containment and retrieval |
| CN105816207A (en) * | 2016-05-19 | 2016-08-03 | 武汉百格资产管理有限公司 | Bag opening structure and laparoscopic object taking bag adopting same |
| CN106859704A (en) * | 2017-03-06 | 2017-06-20 | 成都五义医疗科技有限公司 | One kind overlap joint fuses tubular specimen bag and takes sundries tool |
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